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Laparoscopic Re-operations for Band Removal after Open Banded Gastric Bypass

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Background

Roux-en-Y gastric bypass (RYGBP) has been demonstrated to be an effective treatment for weight loss in the morbidly obese. Numerous variations of the RYGBP have been performed, including placing a ring proximal to the gastric outlet. This ring in RYGBP is intended to decrease pouch dilation and limit weight regain. We reviewed our experience in laparoscopic re-operation after open banded RYGBP.

Methods

All charts of patients who underwent laparoscopic revisional bariatric surgery were reviewed. Patients who had laparoscopic removal of the band following the open banded RYGBP were reviewed in this study.

Results

There were 4 patients who had laparoscopic removal of the band. The indication in all patients was dysphagia and emesis. The ring removed was a silicone band (1) and a large braided non-absorbable suture (3). After the laparoscopic reoperation, there was immediate relief. There has been an average of 5.8 kg weight regain at average followup of 30 months.

Conclusions

This complication after open banded RYGBP may require operative intervention. Laparoscopic removal of a band is feasible and safe.

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References

  1. Capella JF, Capella RF. An assessment of vertical banded gastroplasty-Roux-en-Y gastric bypass for the treatment of morbid obesity. Am J Surg 2002; 183: 117–23.

    Article  PubMed  Google Scholar 

  2. Madan AK, Ternovits CA, Tichansky DS. Laparoscopic removal of gastric band after open banded gastric bypass. Obes Surg 2005; 15: 580–3.

    Article  PubMed  Google Scholar 

  3. Fobi M. The surgical technique of the Fobi-pouch operation for obesity. Obes Surg 1998; 8: 283–8.

    Article  CAS  PubMed  Google Scholar 

  4. Fobi M, Lee H, Felahy B et al. Choosing an operation for weight control, and the transected banded gastric bypass. Obes Surg 2005; 15: 114–21.

    Article  PubMed  Google Scholar 

  5. Mason EE. Vertical banded gastroplasty for morbid obesity. Arch Surg 1982; 117: 701–6.

    CAS  PubMed  Google Scholar 

  6. Bö O, Modalski O. Gastric banding, a surgical method of treating morbid obesity: preliminary report. Int J Obes 1983; 7: 493–9.

    PubMed  Google Scholar 

  7. Drew RL, Linner JH. Revisional surgery for severe obesity with fascia banded stoma Roux-en-Y gastric bypass. Obes Surg 1992; 2: 349–54.

    Article  PubMed  Google Scholar 

  8. Fobi M, Lee H, Igwe D et al. Band erosion: incidence, etiology, management and outcome after banded vertical gastric bypass. Obes Surg 2001; 11: 699–707.

    Article  CAS  PubMed  Google Scholar 

  9. Wilkinson LH. Reduction of gastric reservoir capacity. Am J Clin Nutr 1980; 33: 515–7.

    CAS  PubMed  Google Scholar 

  10. Fobi M, Lee H, Flemming AW. The surgical technique of the banded gastric bypass. J Obes Weight Regulation 1989; 8: 99–102.

    Google Scholar 

  11. White S, Brooks E, Jurikova L et al. Long-term outcomes after gastric bypass. Obes Surg 2005; 150: 155–63.

    Article  Google Scholar 

  12. Salinas A, Santiago E, Yeguez J et al. Silastic ring vertical gastric bypass: evolution of an open surgical technique, and review of 1,558 cases. Obes Surg 2005; 15: 1403–7.

    Article  PubMed  Google Scholar 

  13. Capella RF, Capella JF, Mandec H et al. Vertical banded gastroplasty-gastric bypass: preliminary report. Obes Surg 1991; 1: 389–95.

    Article  PubMed  Google Scholar 

  14. Capella RF, Capella JF. Reduction early technical complications in gastric bypass surgery. Obes Surg 1997; 7: 149–156; discussion 157.

    Article  CAS  PubMed  Google Scholar 

  15. Campton NA, Isvornicov V, Stubbs RS. Silastic ring gastric bypass: results in 64 patients. Obes Surg 1997; 7: 489–94.

    Article  Google Scholar 

  16. Zorilla PG, Salinas-Martinez AN. Vertical banded gastroplasty gastric bypass with and without the interposition of jejunum: preliminary report. Obes Surg 1999; 9: 29–32.

    Article  Google Scholar 

  17. Capella JF, Capella RF. The weight reduction operation of choice: vertical banded gastroplasty or gastric bypass. Am J Surg 1996; 17: 74–9.

    Article  Google Scholar 

  18. Papsavas PK, Caushaj PF, McCormick JT et al. Laparoscopic management of complications following laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Endosc 2003; 17: 610–4.

    Article  Google Scholar 

  19. Madan AK, Lanier B, Tichansky DS. Laparoscopic repair of gastrointestinal leaks after laparoscopic gastric bypass. Am Surg 2006; 72: 586–91.

    PubMed  Google Scholar 

  20. Stubbs RS, O’Brien L, Jurikova L. What ring size should be used in association with vertical gastric bypass? Obes Surg 2006; 16: 1298–303.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Minimally Invasive Surgery, Department of Surgery, University of Tennessee Health Science Center, 956 Court Ave., Room G210, Memphis, TN, 38163, USA

    Raymond J. Taddeucci MD, Atul K. Madan MD, FACS & David S. Tichansky MD, FACS

  2. Surgical Associates SC, Evanston, IL, USA

    Craig A. Ternovits MD

Authors
  1. Raymond J. Taddeucci MD
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  2. Atul K. Madan MD, FACS
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  3. Craig A. Ternovits MD
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  4. David S. Tichansky MD, FACS
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Corresponding author

Correspondence to Atul K. Madan MD, FACS.

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Taddeucci, R.J., Madan, A.K., Ternovits, C.A. et al. Laparoscopic Re-operations for Band Removal after Open Banded Gastric Bypass. OBES SURG 17, 35–38 (2007). https://doi.org/10.1007/s11695-007-9003-8

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  • DOI: https://doi.org/10.1007/s11695-007-9003-8

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